title: Acrodermatitis enteropathica-like skin lesions in a neonate.
abstract: A male neonate was born to a sixth-gravida mother with a history of four early-neonatal deaths. On day 21 of life, the patient was admitted for poor feeding, vomiting and encephalopathy. Final diagnosis of propionic acidaemica (propionylcarnitine, 17.67 μmol/L) was made. He was managed by peritoneal dialysis followed by protein-free and special lipid diet, sodium benzoate and multivitamins. On day 28 of life, he developed acrodermatitis enteropathica-like skin lesions on perioral and diaper area that did not respond to oral zinc or antimicrobials. A possibility of acrodermatitis acidaemica was kept and supplementation with essential amino acids started, following which the skin lesions regressed.
authors.affiliation: Department of Pediatrics, Dayanand Medical College, Ludhiana, Punjab, India.
authors.forename: Kamal
authors.initials: K
authors.lastname: Arora
authors.forename: Rashmi Ranjan
authors.initials: RR
authors.lastname: Das
authors.forename: Shasanka Shekhar
authors.initials: SS
authors.lastname: Panda
authors.forename: Madhulika
authors.initials: M
authors.lastname: Kabra
mesh_terms: D000169:Acrodermatitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015032:Zinc / Q000172:deficiency*
chemical_list: D015032:Zinc